CQC report explained · a residential care home
What the CQC found at The Gables
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Risks were assessed and reviewed, staffing levels were judged sufficient, and medicines were generally managed safely, although a potential risk in the flats was identified and addressed.
- Effective?
- Good
- People received support from trained staff and could access healthcare when needed. One best-interests decision record did not include details of involvement from others, and the manager said records would be reviewed.
- Caring?
- Good
- Staff treated people with dignity and respect and gave them time to communicate. People were supported to make choices, keep their independence and have privacy.
- Responsive?
- Good
- Care plans reflected people's needs, wishes and goals and were regularly updated. People were supported with activities, hobbies, complaints and personalised arrangements before moving in.
- Well-led?
- Good
- The manager was visible and accessible, and staff said communication and support were good. Audits, meetings and quality checks were used to identify actions and learn from incidents and complaints.
What inspectors found, June 2019
The Gables was rated Good; inspectors found safe, kind and personalised care, with two small record-keeping risks addressed during the visit.
This was the first planned inspection since the home registered in June 2018. It was unannounced and one inspector visited on 5 June 2019. They spoke with people and staff, observed care, checked three care records and medicines records, and reviewed staffing, training, safeguarding and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were treated with respect. Staff supported choice, independence, healthcare, activities and personalised routines.
Inspectors found two issues needing attention. One medicines arrangement for people living in the flats created a potential risk, and one best-interests record did not show who had been involved. The home took immediate or planned action to address these points.
Personal choice and independence
People were involved in their care and supported to make everyday choices, develop life skills and take part in education, work and activities.
“Throughout the inspection we observed staff encouraged people to make their own decisions and choices; from choosing their drinks to deciding what activities they wanted to do.” from the report
Respectful relationships
Staff knew people well, understood how they communicated and treated them calmly and respectfully.
“Staff spoke with people in a calm and respectful manner and gave them time to express themselves.” from the report
Staffing and training
Inspectors found enough staff to meet people's needs. Staff received induction, ongoing training, supervision and support.
“There were enough staff, who were well trained and supported, to make sure people received the care and support they needed in a personalised way.” from the report
Learning and oversight
The home used audits, meetings and reviews of incidents and complaints to identify improvements and reduce future risks.
“The registered manager showed us how they used the reviews to learn lessons to minimise the risk of accidents or incidents happening again in the future.” from the report
Medicines in the flats
needs fixingInspectors found a potential risk in how medicines were received by people living in the two flats. The manager and team leader took immediate action to remove the risk and told staff about it.
“However, we noted a potential risk in the way people who lived in the two flats received their medicines.” from the report
Best-interests records
needs fixingOne record did not show that other relevant people, such as family and health professionals, had been involved in the decision-making process. The manager said all similar records would be reviewed.
“However, we found one best interest decision making process had not recorded the involvement of others who were involved, such as family and health professionals.” from the report
- 01What immediate changes were made to the way medicines are received and managed in the two flats?
- 02How do you now check that best-interests records include family members and relevant health professionals?
- 03How are people's views gathered if they cannot complete satisfaction surveys?
- 04How do staff review incidents, use debriefs and make sure lessons are put into practice?
- 05How will you manage the damaged communal lounge sofas so the areas remain easy to keep clean?
This was an unannounced first planned inspection that looked at the premises and care across all five CQC questions. This explanation was written from the published report of 25 June 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of The Gables
Each visit the CQC has published, newest first, back to the day the home was registered.
- June 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2018
Registered with the Care Quality Commission on 28 June 2018.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
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9 live-in carers within about an hour of Lincolnshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.